title: Circumferential spontaneous coronary artery dissection in an elderly man: a case report.
abstract: An 82-year-old man developed acute inferior myocardial infarction. Emergent coronary angiography demonstrated thrombotic occlusion in the right coronary artery. Intracoronary thrombolytic therapy was performed with successful recanalization. However, circumferential dissection with luminal stenosis was revealed at the point of thrombus formation. Repeat angiography 6 months later showed resolution of the dissection. This is the first description of circumferential spontaneous coronary artery dissection. In addition, the present patient is older than any previous patients.
authors.affiliation: The Division of Cardiology, Nippon Steel Yawata Memorial Hospital, Kitakyushu, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Koga
authors.forename: A
authors.initials: A
authors.lastname: Sakamoto
authors.forename: Y
authors.initials: Y
authors.lastname: Nakamura
authors.forename: N
authors.initials: N
authors.lastname: Kawazoe
authors.forename: S
authors.initials: S
authors.lastname: Sadoshima
authors.forename: K
authors.initials: K
authors.lastname: Onoyama
authors.forename: M
authors.initials: M
authors.lastname: Fujishima
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications*; D003328:Coronary Thrombosis / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology; D010960:Plasminogen Activators / Q000008:administration & dosage / Q000627:therapeutic use; D015912:Thrombolytic Therapy; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage / Q000627:therapeutic use; D014654:Vascular Patency
chemical_list: C093687:nasaruplase; D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator